Individual
DR. DAVID LISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4832 KESWICK RD, BALTIMORE, MD 21210-2338
(202) 436-6139
Mailing address
42 BANK ST APT 62, NEW YORK, NY 10014-5217
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
D83642
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2011
Last updated
07/20/2021
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